SAMUEL MERRITT UEBELACKER

MERIDIAN, ID
NPI1316587751
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1810)
Enumeration Date2020-01-14
Last Update Date2020-02-27
Business Address
SAMUEL MERRITT UEBELACKER PA-C
2855 E MAGIC VIEW DR
MERIDIAN, ID 83642-6245
Phone number: 208-639-4900
Mailing Address
SAMUEL MERRITT UEBELACKER PA-C
2855 E MAGIC VIEW DR
MERIDIAN, ID 83642-6245
Phone number: 208-639-4900